Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date:

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Date: 2014-05-06 13:41:32 Amines Tricyclic antidepressants Selective serotonin reuptake inhibitors Serotonin-norepinephrine reuptake inhibitors Antidepressant Sertraline Monoamine oxidase inhibitor Maprotiline Desvenlafaxine Chemistry Organic chemistry Organochlorides		Division: Pharmacy Services Subject: Prior Authorization Criteria Original Development Date: Original Effective Date: Add to Reading List Source URL: ahca.myflorida.com Download Document from Source Website File Size: 230,73 KB Share Document on Facebook

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